This makes it sound like it's something new, when in fact this has been going on ever Barry's signature fiasco was put in place. They destroyed small clinics forcing patients to drive many miles for care, their requirement for electronic record keeping drove many older but competent physicians out of their practices when they either couldn't adapt or afford to purchase a record keeping system. I know for a fact that medicare penalized physicians a escalating percentage of their fee each year they have not come into compliance.
So it makes 'If you like the doctor you have, you can keep your doctor" even more laughable when you know that the system is rigged to drive physicians out of their practices.